How to Make a Claim for Health Appliances

Q: How often can I claim a replacement device?

Replacement periods depend on the appliance you wish to claim for. Generally, you can claim for an appliance every three years except for: Hip protectors, insulin delivery pens, pregnancy compression garments: 24 months Appliance repairs: 12 months The claiming conditions and procedure for replacements and repairs are the same – simply follow the instructions on this page.

Get everything ready

If your cover includes benefits for a particular appliance, you can claim for it online using the information on this page.

To claim online, you will require the My Medibank app on your phone, or access to My Medibank on the web. If you don't have a My Medibank account, register now in two easy steps.

If you haven't paid for your appliance or would like to submit with a claim form, you can also make a claim by post or in one of our stores.

Check your cover summary in your My Medibank account if you're not sure if you're eligible to claim.

Key Information

Check you've served relevant waiting periods; under "Limits" in My Medibank
You need to have purchased the appliance in Australia
You'll need proof that your doctor or specialist has recommended you get the appliance, dated within the last 12 months.

Before you start your claim

Make sure :

- You have a digital copy of the receipt for the service/treatment, displaying the provider ID and item number, and dated within the last two years. (Note: Accepted digital file formats include: JPEG/JPG, PNG, HEIC/HEIF or PDF. A photo of the receipt is fine, as long as it's clear.)
- You purchased the appliance in Australia from a business with an ABN (like a chemist or doctor).

Please review the following information:

1. Check you've served any relevant waiting periods. If you’re not sure, you can check under "Limits" in My Medibank.
2. You have proof that your doctor or specialist has recommended you get the appliance, and it's dated within the last 12 months. (ie. A letter from your doctor or specialist saying that you need the appliance, a prescription for the appliance, or an account from a pharmacy saying that the appliance was prescribed by your doctor or specialist.)

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Claiming on App
Claiming on Web

How to claim for a health appliance or service on the app

1. Log in and make a claim

2. Enter name and date of service

3. Enter provider details

Tap Provider ID to search for a provider using their provider ID.

Tap Other provider details to search for a provider using their full name / business name and postcode.

Or tap and select a provider from the previous provider list.

If a provider has multiple practice types you will be prompted to select the matching practice type to your claim.

Sometimes a provider doesn't appear in the search results. If this happens tap Manually enter provider details to add a provider and choose from the practice/item type list to proceed.

4. Enter claim details

5. Enter item details

On the item screen with the date of service, tap +Add first item. You can add an item by typing in the item number, or scrolling down the list of common items and tapping on the correct one.

If the number under Quantity is correct, leave it as is. If it isn’t, tap the Quantity number and select the correct quantity from the scrollable list that appears. Next, tap Item Charge and type in the amount. Tap the green tick.

If you have more items to claim for, tap +Add another item and follow the same steps.

Tap Confirm.

App claim screen - health appliance highlighted

6. Upload receipt

7. Upload documents

8. Confirm payment details and submit claim

How to claim for a health appliance or service on the web

1. Log in and make a claim

2. Claim health appliance

3. Enter provider details

Select the date of your treatment or service.

Choose from the previous provider list or search for a provider by entering their Provider ID or other provider details (full name / business name and postcode).

Once you have selected your provider, select and confirm the practice/item type from the drop-down.

Sometimes a provider doesn't appear in the search results. If this happens you can choose to add the provider manually by clicking use the details above to continue.

4. Add item number

5. Upload your receipt/s and supporting documents

6. Confirm your payment details

7. Review & submit

Start your claim online

Make a health appliance claim

Download the My Medibank app

Still have questions?

What appliances can I claim for?

Depending on your cover, these are some of the appliances you may be able claim for:

Blood glucose monitors
Blood pressure monitors
Breathing appliances
Custom-made footwear (shoe or boot) to manage a permanent disability (only where you have a referral from a medical practitioner saying you need the appliance)
External prostheses
Hip protectors
Insulin delivery pens.
Modifications to footwear (can also be referred by podiatrists as well as your doctor)
Orthotic appliances for shoes (only where you have a referral from a medical practitioner saying you need the appliance)
Pregnancy compression garments
Pressure stockings
Pressure therapy garments (can also be referred by physiotherapists and occupational therapists as well as your doctor)
Wigs

Note: If you want to claim for a CPAP-type machine, this is a Hospital claim - please refer to the claiming guide for CPAP devices.

How often can I claim a replacement device?

Can I claim for someone else?

You can claim for someone else on your policy, but you can’t submit a single claim form for more than one person at a time. You’ll need to do a separate claim form for each person. Please keep in mind that unless we have the other person’s consent, we won’t be able to discuss the details of the claim once it has been submitted.

To authorise someone else to act on your behalf when dealing with Medibank, apply using this Authority form.

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Things you should know:

If you’re on Overseas Student Health Cover (OSHC), please visit OSHC Help & Support to find out more about claiming for a health appliance, or call our OSHC 24/7 Student Health and Support Line on 1800 887 283.

Claims submitted in store will be processed separately (at a later date) and pay benefits to you, the hospital or the provider, as appropriate.

Some claims, like paper based, may take longer to update.